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Nhs West Lancashire Clinical Commissioning Group Governing Body Meeting

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Nhs West Lancashire Clinical Commissioning Group Governing Body Meeting NHS WEST LANCASHIRE CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING 28 November 2017, 9.30 – 11.30 am Boardroom, Hilldale, Wigan Road, L39 2JW Item Time Agenda item Action Presenter WLCCGB 11/17/1 9.30 Welcome Chair 11/17/2 9.315 Declaration of Interests All 11/17/3 9.40 Minutes of previous meeting held on 25 July 2017 DR Chair 11/17/4 9.415 Matters arising - Action sheet DR Chair Communication 11/17/5 9.510 Chair’s update I Chair 11/17/6 10.01 0 Chief Officer’s update I Mike Maguire Governance 11/17/7 10.10 Risk management process I Paul Kingan Operational Management Section 11/17/8 10.20 Integrated business report D Paul Kingan 11/17/9 10.35 Children’s and Adults policy DR Claire Heneghan 11/17/10 10.45 Safeguarding Children and Adults annual report 2016 - 17 DR Claire Heneghan 11/17/11 10.55 Declaration of Interests I Paul Kingan 11/17/12 11.00 Social prescribing procurement DR Kathryn Kavanagh Consent items 11/17/13 11.110 Minutes of sub-committees: I Chair - Primary Care Commissioning Committee – September 2017 - Finance and QIPP Committee – 1 September and October 2017 - Quality and Safety Committee – 24 October 2017 - Executive Committee – 12 September – 7 November 2017 Other minutes/action notes: - Lancashire Health and Wellbeing Board – September 2017 - West Lancashire Community Safety Partnership – July 2017 - Alliance Local Delivery – September 2017 - Joint Committee of CCGs – September 2017 Other Business 11/17/14 11.10 Any other business I Chair Date and Time of Next Meeting – 23 January 2018, 9.30 – 11.30 am, Boardroom, Hilldale 15 minutes to be allocated for questions from members of the public based on agenda items. I – Information D-Discussion DR – Decision Required Members of the governing body will be available after the close of the meeting for informal discussion, time permitting Minutes D R A F T Meeting Title: West Lancashire Clinical Date: 26 September 2017 Commissioning Governing Body Meeting Time: 9.30 – 11.30 am Venue: Parbold Village Hall, Parbold Present: In attendance: Dr John Caine, Chair Cathy Ashcroft, Executive Assistant Mike Maguire, Chief Officer Gail Godson, Director, Healthwatch Lancashire Douglas Soper, Lay Member Jackie Moran, Head of Quality, Performance and Greg Mitten, Vice-Chair / Lay Member Contracting Steve Gross, Lay Member For item 09/17/11 and 09/17/12: Paul Kingan, Chief Officer/Deputy Chief Officer Gary Raphael, Finance Director, Healthier Dr Bapi Biswas, GP Executive Lead Lancashire and South Cumbria Dr Peter Gregory, GP Executive Lead For item 09/17/17: Dr Rakesh Jaidka, GP Executive Lead Nicola Baxter, Head of Medicines Optimisation Dr Vikul Mittal, GP Executive Lead Dawn Threlfall, Medicines Optimisation Technician Apologies: Mike Kirby, Director of Corporate Commissioning, Lancashire County Council (in attendance) Sakthi Karunanithi, Director of Public Health and Wellbeing (in attendance) Dr John (Jack) Kinsey, GP Executive Lead Claire Heneghan, Chief Nurse Dr Adam Robinson, Secondary Care Consultant Agenda Summary of Discussion Action Item WLCCGB/ 09/17/01 Welcome and apologies for absence The meeting of the West Lancashire Clinical Commissioning Group Governing Body was opened by Dr John Caine. There were four members of the public present and no questions had been received from the public in respect of the agenda. Those present were informed that the Annual General Meeting will take place immediately following the Governing Body meeting. The agenda was amended for items 11 and 12 to be addressed following item 6. 09/17/02 Declarations of interests Dr John Caine reminded committee members of their obligation to declare any interest they may have on any issues arising at committee meetings which might conflict with the business of West Lancashire CCG. Declarations declared by governing body members are listed in the CCG’s Register of Interests. The register is available either via the secretary to the governing body or the CCG website at the following link: http://www.westlancashireccg.nhs.uk/wp-content/uploads/Register-of- interests-Governing-Body-and-committee-members-March-2017.pdf Declarations of interest from sub committees. None declared No declarations were declared. 09/17/03 Minutes of previous meeting held on 25 July 2017 The minutes of the meeting held on 25 July were approved as a correct record West Lancashire Clinical Commissioning Group Governing Body meeting – 26 September 2017 Page 1 of 8 with one minor amendment: Page 2, top of page; 05/17/02 Declarations of interest. ‘Gail Godson declared an interest in item 12. Choice and Equity Policy, because she owns a home care company. The chair deemed this to be a significant interest…’ 09/17/04 Matters arising The action sheet was updated. COMMUNICATION 09/17/05 Chair’s update The report provided members with an update on both strategic and operational issues since the last meeting. John Caine highlighted key areas of interest: • Right Care – this is a national NHS England supported programme committed to delivering best care to patients whilst utilising NHS money efficiently. All three RightCare priority submissions have been made: musculoskeletal (MSK), chronic pain and respiratory. The CCG will report back quarterly to NHS England on the improvements in these areas. • Urgent Care – the falls car pilot has been extended to the end of the financial year to further assess the impact of the service. The current data shows that over 60% of patients were seen at home and did not require hospital admission, which reduces pressure on the ambulance service. Greg Mitten highlighted the positive feedback from patients in terms of agencies working together. The current mix of agencies is being looked at to develop the relationship with social prescribing. • Changes to Prescribing – following public consultation, the CCG announced the cessation to fund certain types of medicines or treatments with little evidence of real clinical benefit, that are readily available over the counter. This also included gluten-free products. • Self-Care – this is to encourage the community to self-care and avoid unnecessary visits to GP practices and A&E. Fact sheets and materials have been circulated and can be provided by the CCG. • Annual General Meeting (AGM) – the AGM, in association with the CVS health network, will follow the Governing Body meeting and all are welcome to attend. • Duty to Involve Report – the annual report highlights how the CCG have involved others in their work over the last year. It demonstrates the CCG’s commitment to patient and public participation and involvement of wider stakeholders. The 2016-17 report is available from the CCG on request. • Care for You – this is a system-wide local programme to determine the future model of in-hospital care, including A&E services, based on the needs of residents in Southport, Formby and West Lancashire. It will build on previous local work around clinical and financial sustainability of Southport and Ormskirk Hospital NHS Trust (the Trust). It was reported that this programme differs from the previous in that the management team at the Trust is different and this process is more clinically led. The previous process focussed on the sustainability of Southport and Ormskirk Hospitals, whereas Care for You focusses on locality health needs and has a broader remit. In terms of the process feeding into Sustainability and Transformation Plans (STP), the CCG look to the Mersey STP for Acute services, where Andrew Gibson is looking at patch-based solutions and health economies in. In response to a question about the current risk presented by a number of fragile services at the Trust with a greater patient flow to other Trusts, this is being looked into by sub- groups in terms of patient use of services. The options from this programme are required in 12 months’. West Lancashire Clinical Commissioning Group Governing Body meeting – 26 September 2017 Page 2 of 8 • Ophthalmology – the CCG is in the process of procurement of a tier 2 ophthalmology and age related macular degeneration service. Patients are welcome to join a patient focus group in October. • Primary Care – since the CCG became a level 3 co-commissioner in primary care in April, much work has taken place through the Primary Care Commissioning Committee and GP Membership. Neighbourhood working continues and initiatives such as the access to GPs through extended hours pilot continues. New roles are being considered for Clinical Pharmacists and Care Navigators. The governing body: Noted the contents of the report 09/17/06 Chief Officer’s update The report provided members with an update on both strategic and operational issues since the last meeting. Mike Maguire highlighted key areas of interest: • Quality – Southport and Ormskirk Hospital NHS Trust (the Trust) have achieved all their ‘must do’ actions from their Care Quality Action plan, with the exception of refurbishment of a ward; dementia strategy and staffing issues. An improvement plan has been developed to improve North West Ambulance Services (NWAS) turnaround response times. In terms of quality improvement, the Quality and Safety Committee continue to monitor quality and the Collaborative Commissioning Forum will continue to scrutinise in detail the Trust’s progress. • Better Care Fund – the Improved Better Care Fund aims to provide extra support to social and health care to further reduce delays in transfers of care. Lancashire County Council will receive £28 million in 2017-18 and the six CCGs are working with the council to develop improvement schemes. The CCG will receive approximately £330 thousand non- recurrent funding to pump prime its local plan, as agreed with the council. The funding will contribute to the recruitment of occupational therapists, social workers and develop intermediate care in the community. • Joint Health – Since November 2016, GP orthopaedic referrals have been made directly to Joint Health (MSK) at the Trust.
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